NPI | 1265908891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 171W00000X Contractor |
374K00000X Religious Nonmedical Practitioner | |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |